RW. All-trans retinoic acid mediates DUOX2 expression and function in respiratory tract epithelium. Am J Physiol Lung Cell Mol Physiol 299: L215-L221, 2010. First published May 28, 2010 doi:10.1152/ajplung.00015.2010.-DUOX1 and DUOX2 are members of the NADPH oxidase family that are specifically regulated to produce hydrogen peroxide in epithelia of the thyroid, gastrointestinal tract, and respiratory tract. The determinants of DUOX1 or DUOX2 expression in various tissues have not been established. Using respiratory tract epithelial cells as a model, we investigated changes in DUOX mRNA and protein expression during the first 10 days of differentiation. By comparing a respiratory tract cell line, HBE1, with primary tracheobronchial epithelial (TBE) cells, we determined that DUOX2 was significantly expressed only in cell conditions that included all-trans retinoic acid (ATRA). In HBE1 cells, DUOX2 mRNA increased 6-fold after ATRA treatment. Similarly, ATRA induced a 19-fold increase in DUOX2 mRNA expression in primary TBE cells with parallel increases in DUOX protein and DUOXmediated H2O2 production as well. In addition, DUOX2 induction by rhinovirus required the presence of ATRA. ATRA had no effect on DUOX1 expression for all the conditions studied. Our data indicate that for respiratory epithelial cells, ATRA is important in the regulation of DUOX2 expression, function, and rhinovirus-mediated DUOX2 inducibility. DUOX1; gene regulation DUOX ISOZYMES DUOX1 AND DUOX2 are dual NADPH oxidase (NOX)-putative heme peroxidases expressed predominantly in epithelial tissues including epithelia of the thyroid, gastrointestinal tract, and respiratory tract (19). They are members of the NOX family that specifically produce hydrogen peroxide (H 2 O 2 ) in a regulated fashion. The functional significance of DUOX-mediated H 2 O 2 production and the relative contribution of each isoform for functional activity appears to be tissue-specific. For example, DUOX2 is the essential isoform for thyroid hormone synthesis (21), whereas DUOX1 appears to be the major isoform required for wound healing and innate host defense in the respiratory tract (6,7,16,22,28). In addition, the 5-to 10-fold higher levels of DUOX1 mRNA compared with DUOX2 mRNA in respiratory tract epithelium (17, 27) suggest DUOX1 is the predominant isoform for DUOXmediated H 2 O 2 production in the airway. However, DUOX2 likely has a higher capacity for H 2 O 2 generation compared with DUOX1 (2, 25) and may have a larger contribution to basal H 2 O 2 production than previously appreciated (15). How the relative expression levels and functional roles of each DUOX isoform are established in tissues remains undetermined.To begin to address this issue, we investigated some potential factors necessary for DUOX isoform expression in differentiating respiratory tract epithelia. Recent data suggest that DUOX expression in respiratory tract epithelia increases with increasing differentiation (11, 24). Furthermore, it has been proposed that DUOX expression is specifically expr...